Dr Jacqueline Varnum, PT, DPT, OCS, CSCS is a
Physical Therapist based in Avondale Estates, Georgia. Dr Jacqueline Varnum is licensed to practice in Georgia (license number PT012353) and her current practice location is
120 Olive St Ste 300, Avondale Estates, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 974-8594.
NPI number for Dr Jacqueline Varnum is 1720521230 and her current mailing address is 120 Olive St Ste 300, Avondale Estates, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720521230.
Healthcare Provider's Profile
| Full Name | Dr Jacqueline Varnum |
|---|
| Gender | Female |
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| Speciality | Physical Therapist |
|---|
| Location | 120 Olive St Ste 300, Avondale Estates, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720521230
- Provider Enumeration Date: 12/01/2016
- Last Update Date: 01/14/2022
Medical Identifiers
Medical identifiers for Dr Jacqueline Varnum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720521230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT012353 (Georgia) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | PT012353 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacqueline Varnum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jacqueline Varnum, PT, DPT, OCS, CSCS
120 Olive St Ste 300,
Avondale Estates, GA 30002-1006
Ph: (678) 974-8594 | Dr Jacqueline Varnum, PT, DPT, OCS, CSCS
120 Olive St Ste 300,
Avondale Estates, GA 30002-1006
Ph: (678) 974-8594 |
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